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differential hematuria proteinuria acute casts nephritis renal syndrome urology workup ain aki amyloidosis biopsy classification comparison diseases glomerulonephritis indications injury
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic ... the patient have glomerular ... RBCs in urine)? ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
- Nephritic and ... Nephrotic Syndromes ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
blood cells on urine ... microscopy. ... • Hereditary nephritis ... and >3.5g/day (nephrotic ... #Algorithm #Causes
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE) SLE patient develops
Lupus Nephritis ... > 500 mg/d • Nephritic ... casts, WBC casts ... 5%) #Lupus #Nephritis ... #diagnosis #algorithm
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic ... #Differential #Microscopy ... #Diagnosis #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... • 1ml blood/liter ... casts → Diagnostic ... #nephrology #renal ... #urine #blood
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... sterile pyuria, WBC ... , microscopic hematuria ... #Interstitial #Nephritis ... #nephrology #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
• Drugs Glomerular ... sediment - WBC/ ... RBC casts ... #Proteinuria #Nephrology ... #Algorithm #Causes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Algorithm • Confirm ... WBCs, or urine ... • Evidence of glomerular ... if cause not identified ... #urology #blood
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
content [85].2>5 red blood ... clusters because nephritic ... #diagnosis #glomerular ... #proteinuria #nephrotic ... #syndrome #nephrology
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